title: [Monobloc distraction osteogenesis and cranial vault remodeling in a pediatric patient with severe Crouzon's syndrome].
abstract: OBJECTIVE
  To report the treatment of a case of severe Crouzon's syndrome using monobloc distraction osteogenesis and cranial vault remodeling.
  
  
  METHODS
  Through intra-and extra-cranial approach, monobloc osteotomy was performed and external distractor was placed. Distraction began on the 7th postoperative day at a rate of 1 mm a day, two times a day. The distractor removed after consolidation for 4 months.
  
  
  RESULTS
  The distraction distance attained 20 mm. The exophthalmos and cross bite were corrected completely. The severe obstructive apnea improved markedly.
  
  
  CONCLUSIONS
  Monbloc distraction osteogenesis and cranial vault remodeling are effective and safe procedure for Crouzon's syndrome.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Shanghai Jiaotong University, Shanghai 200011, China.
authors.forename: Min
authors.initials: M
authors.lastname: Wei
authors.forename: Ming-Kun
authors.initials: MK
authors.lastname: Zhan
authors.forename: Jian-Lin
authors.initials: JL
authors.lastname: Fang
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.forename: Zhi-Lin
authors.initials: ZL
authors.lastname: Guo
authors.forename: Zuo-Liang
authors.initials: ZL
authors.lastname: Qi
mesh_terms: D002648:Child; D003394:Craniofacial Dysostosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy; D012886:Skull / Q000601:surgery*